Perfect Smile Braces, P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PERFECT SMILE BRACES, P.C.

Doing business as

Perfect Smile Braces

Practice address

555 E Fordham Rd
Bronx, NY 10458-5046

Phone

(347) 801-8888

Fax

(347) 801-8888

NPI assigned

Oct 1, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emil Bailey, DMD, MSNPI 1790041523

Title

President/Owner

Phone

(347) 801-8888

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Perfect Smile Braces Doing business as

Tax ID family

Perfect Smile Braces2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Perfect Smile Braces, P.C.

  dba Perfect Smile Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bronx, NY
  • NPI 1841689205
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emil Bailey, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bronx, NY
  • NPI 1790041523
  NPD Authorized official
• Heather Stephanie Kunen, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bronx, NY
  • NPI 1982180790
  NPD (past)
• Matthew Michael Stout, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
  • NPI 1992164131
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1902157910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585046",
            "telephone_number": "347-801-8888",
            "fax_number": "347-801-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585046",
            "telephone_number": "347-801-8888",
            "fax_number": "347-801-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 Dyckman St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100401004",
            "country_code": "US",
            "telephone_number": "347-801-8888",
            "fax_number": "347-801-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 E Fordham Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104585108",
            "country_code": "US",
            "telephone_number": "347-801-8888",
            "fax_number": "347-801-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFECT SMILE BRACES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "EMIL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "347-801-8888",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NISHI GARG, DMD TYPE 1 NPI ASSOCIATE",
            "identifier": "1295272441",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIL BAILEY, DMD TYPE 1 NPI",
            "identifier": "1790041523",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ZACHARY HIRSCH, DDS TYPE 1 NPI",
            "identifier": "1578957270",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05333019",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JEONG RAE CHO, DDS TYPE 1 NPI",
            "identifier": "1235567173",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Smile Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perfect Smile Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Anais Perez, MD
• Wilma Perez
• Yvelisse M Perez
• Perfect Fit Ny Inc
• Perfect Smile Braces, P.C. (Perfect Smile Braces)
• Perfect Vision Inc (Perfect Vision Optical)
• Perfect-Foot and Ankle Specialist PC
• Perfection Car Service Inc
• Performance Rehabilitation PT PLLC
• Gaetano Perilli, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.